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1134690357
JUSTIN WAYNE GARDNER
FRESNO, CA
NPI
1134690357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: CA 116442)
Enumeration Date
2018-12-16
Last Update Date
2023-10-18
Business Address
JUSTIN WAYNE GARDNER
2560 W SHAW LN STE 104
FRESNO, CA 93711-2777
Phone number: 559-443-4820
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Mailing Address
JUSTIN WAYNE GARDNER
2560 W SHAW LN STE 104
FRESNO, CA 93711-2777
Phone number: 559-443-4820
Copy
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